FORM 1023-EZ for I AND B MEDICAL FOUNDATION INC

Field Data
EIN 83-1199387
Case Number EO-2019296-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AND B MEDICAL FOUNDATION INC
Organization’s Mailing Address 9400 NW 12 AVE BAY 1
City MIAMI
State FL
ZIP 33150
Accounting period End 12
Primary contact name ALANDE BREZAULT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALANDE BREZAULT
PRESIDENT
9400 NW 12 AVE BAY 1
MIAMI FL 33150

Officer/Director/Trustee Two

CLAUDE A INNOCENT
VICE PRESIDENT
9400 NW 12 AVE BAY 1
MIAMI FL 33150

Officer/Director/Trustee Three

ELIZABETH GUERIN
SECRETARY
9400 NW 12 AVE BAY 1
MIAMI FL 33150

Officer/Director/Trustee Four

ZAFAR BAIG
MANAGER
9400 NW 12 AVE BAY 1
MIAMI FL 33150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALANDE BREZAULT
Signature Title PRESIDENT
Signature Date 10/21/19

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